Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who had a stroke and requires assistance with morning ADLs.
Which of the following interprofessional team members should the nurse consult?
A. Physical therapist.
Choice A is wrong because a physical therapist focuses on improving mobility and physical function.
B. Occupational therapist.
A nurse should consult an occupational therapist when caring for a client who had a stroke and requires assistance with morning ADLs. Occupational therapists specialize in helping individuals regain their ability to perform activities of daily living (ADLs) and can provide valuable assistance in this situation.
C. Speech-language pathologist.
Choice C is wrong because a speech-language pathologist focuses on improving communication and swallowing abilities.
D. Registered dietician.
Choice D is wrong because a registered dietician focuses on nutrition and dietary needs.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Fundamentals 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
A nurse should consult an occupational therapist when caring for a client who had a stroke and requires assistance with morning ADLs.
Occupational therapists specialize in helping individuals regain their ability to perform activities of daily living (ADLs) and can provide valuable assistance in this situation.
Choice A is wrong because a physical therapist focuses on improving mobility and physical function.
Choice C is wrong because a speech-language pathologist focuses on improving communication and swallowing abilities.
Choice D is wrong because a registered dietician focuses on nutrition and dietary needs.
Similar Questions
A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220 Ib.
How many mg should the nurse administer? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.).
A. 200 mg.
To calculate the dose of gentamicin to administer to a client who weighs 220 Ib, first convert the client’s weight from pounds to kilograms. 220 Ib is equivalent to 100 kg (220 Ib /.2 Ib/kg = 100 kg). Then, multiply the client’s weight in kilograms by the dose of gentamicin per kilogram: 100 kg * 2 mg/kg = 200 mg. Therefore, the nurse should administer 200 mg of gentamicin.
B. 180 mg.
Choice B is wrong because 180 mg is not the correct dose.
C. 400 mg.
Choice C is wrong because 400 mg is not the correct dose.
D. 440 mg.
Choice D is wrong because 440 mg is not the correct dose.
Full Explanation
To calculate the dose of gentamicin to administer to a client who weighs 220 Ib, first convert the client’s weight from pounds to kilograms.
220 Ib is equivalent to 100 kg (220 Ib /.2 Ib/kg = 100 kg).
Then, multiply the client’s weight in kilograms by the dose of gentamicin per kilogram: 100 kg * 2 mg/kg = 200 mg.
Therefore, the nurse should administer 200 mg of gentamicin.
Choice B is wrong because 180 mg is not the correct dose.
Choice C is wrong because 400 mg is not the correct dose.
Choice D is wrong because 440 mg is not the correct dose.
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
A. Refer the client to a breast cancer support group.
Choice A is not the first action the nurse should take because referring the client to a breast cancer support group may be helpful, but it is not addressing the immediate concern of the client’s emotional state.
B. Identify the impact of the mastectomy on the client's body image.
The nurse should first identify the impact of the mastectomy on the client’s body image. This is because the client’s behavior of avoiding looking at her dressings and being tearful suggests that she may be struggling with changes to her body image after the surgery. By identifying and addressing this issue, the nurse can provide appropriate emotional support and interventions to help the client cope with these changes.
C. Encourage the client to assist with her dressing changes.
Choice C is not the first action because encouraging the client to assist with her dressing changes may be premature if she is still struggling emotionally with her body image.
D. Provide the client with a mirror to look at her mastectomy incisions.
Choice D is not the first action because providing the client with a mirror to look at her mastectomy incisions may be overwhelming for her if she is not yet ready to confront her changed appearance.
Full Explanation
The nurse should first identify the impact of the mastectomy on the client’s body image.
This is because the client’s behavior of avoiding looking at her dressings and being tearful suggests that she may be struggling with changes to her body image after the surgery.
By identifying and addressing this issue, the nurse can provide appropriate emotional support and interventions to help the client cope with these changes.
Choice A is not the first action the nurse should take because referring the client to a breast cancer support group may be helpful, but it is not addressing the immediate concern of the client’s emotional state.
Choice C is not the first action because encouraging the client to assist with her dressing changes may be premature if she is still struggling emotionally with her body image.
Choice D is not the first action because providing the client with a mirror to look at her mastectomy incisions may be overwhelming for her if she is not yet ready to confront her changed appearance.
When preparing medication from a vial for a subcutaneous injection for a client, which of the following actions should the nurse take?
A. Hold the syringe so that bubbles collect at the level of the plunger.
Choice A is wrong because holding the syringe so that bubbles collect at the level of the plunger is not necessary when preparing medication from a vial.
B. Hold the vial with the top facing upward while injecting air into the vial.
When preparing medication from a vial for subcutaneous injection for a client, the nurse should hold the vial with the top facing upward while injecting air into the vial. This is because injecting air into the vial equalizes the pressure inside and makes it easier to withdraw the medication 1.
C. Inject air into the vial with the eye of the needle immersed in the fluid.
Choice C is wrong because injecting air into the vial with the eye of the needle immersed in the fluid can contaminate the medication.
D. Hold the syringe at a 45° angle to verify dosage.
Choice D is wrong because holding the syringe at a 45° angle is not necessary when verifying dosage.
Full Explanation
When preparing medication from a vial for subcutaneous injection for a client, the nurse should hold the vial with the top facing upward while injecting air into the vial.
This is because injecting air into the vial equalizes the pressure inside and makes it easier to withdraw the medication 1.
Choice A is wrong because holding the syringe so that bubbles collect at the level of the plunger is not necessary when preparing medication from a vial.
Choice C is wrong because injecting air into the vial with the eye of the needle immersed in the fluid can contaminate the medication.
Choice D is wrong because holding the syringe at a 45° angle is not necessary when verifying dosage.